The United States is in the middle of an opioid crisis, so it’s easy to assume that all opioids can be equally detrimental to people’s health. But now, the Food and Drug Administration says one in particular is especially contributing to the opioid epidemic.

The FDA has asked Irish pharmaceutical company Endo International to take one of its pain medications, Opana ER (oxymorphone hydrochloride), off the market because of its potential for abuse. “After careful consideration, the agency is seeking removal based on its concern that the benefits of the drug may no longer outweigh its risks,” the FDA said in a press release. “This is the first time the agency has taken steps to remove a currently marketed opioid pain medication from sale due to the public health consequences of abuse.”

The FDA says its decision is based on a review of data that shows a “significant shift” in the abuse of Opana ER, with more people moving from crushing and snorting the drug to injecting it after the product was reformulated. (Opana ER was first approved by the FDA in 2006, but the reformulated version, which was intended to lower the potential for abuse, was released in 2012.) Now, the FDA says that injections of the new version of Opana ER have been linked with an outbreak of HIV and hepatitis C, as well as cases of thrombotic microangiopathy, a serious blood disorder.

Endo International said in a press release on its website that the company is “reviewing the request and is evaluating the full range of potential options as we determine the appropriate path forward.” The company also said that “despite the FDA’s request to withdraw Opana ER from the market, this request does not indicate uncertainty with the product’s safety or efficacy when taken as prescribed.”

Opana ER is an opioid that is intended to help manage pain that is severe enough to require daily, around-the-clock, long-term treatment.

Liz Cohen was a popular athlete before an injury introduced her to painkillers. (iStock)

Liz Cohen remembers the exact moment she gave in to heroin. Sitting in a rundown motel room with her boyfriend and starting to feel the intense pains of withdrawal, she says she begged him to get her more drugs. But when he told her that all he could give her was heroin, she balked. Up until that point she’d stuck to prescription painkillers like Vicodin and Oxycontin, uppers like cocaine and speed, and drinking—heroin, she says, was the line she wouldn’t cross.

“In my mind, I wasn’t really a drug addict, I was just a girl who liked to party. But heroin was serious, heroin was for junkies on the street,” she says. “So I told my boyfriend, ‘No, anything but that. We promised we’d never do that.’”

His reply shocked her. “You’ve already been doing heroin for months,” he said bluntly, explaining that while she’d thought the powder she was snorting was crushed-up painkillers it turns out he’d been giving her the cheaper narcotic heroin, instead. And, he added, he knew a faster, easier way to get the high she so desperately craved. He handed her a needle.

“I was devastated, I’d become what I’d always said I wouldn’t be,” she says. But that feeling disappeared quickly. “The second I stuck the needle in my arm, the whole game changed. I was in love. Heroin became my life, my love, my everything.”

A popular, pretty, former high school basketball star, Liz was the last person you’d expect to end up a homeless drug addict. Yet it was her beloved sport that first introduced her to the opiates that would consume her life.

Her freshman year, she was goofing around and turned her ankle, tearing all of the ligaments. At the ER, the doctor prescribed her Percocet, an opioid painkiller. At first she says it made her nauseous, but it didn’t take long before she realized the powerful pills killed not just the physical pain but also the emotional pain. And facing a year of surgery and recovery instead of playing ball with her team, the teen had a lot of emotional pain.

“They made me feel so euphoric and invincible that I used up my one-month prescription in one week,” she says. After that, she lied to her doctor about her pain levels to keep the prescriptions coming.

Liz is not alone. According to the Centers for Disease Control and Prevention, “past misuse of prescription opioids is the strongest risk factor for starting heroin use,” and three out of four new heroin users report having abused opioids before using heroin.

Eventually, Liz moved on from her opioids to harder drugs, and she forgot all about the basketball team, academics, and her dream of getting a sports scholarship. By her senior year of high school, she flunked out and ran away from home to move in with her dealer boyfriend—the one who would get the teen hooked on heroin.

Not long after she embraced shooting up, Liz, who’d always known she was adopted, found her birth parents and made plans to meet them.

Ticks are out in force this year, and there’s one species in particular you should watch out for if you’d ever like to eat meat again.

Experts say the lone star tick appears to be spreading from its home base in the southeastern US. Whereas other ticks can spread ailments such as Lyme disease, the lone star tick is bothersome because it is believed to trigger a potentially life-threatening and apparently lifelong meat allergy with its bite.

The tick doesn’t technically make people allergic to meat, but rather to a sugar molecule found in red meat known as alpha-gal. This alpha-gal allergy has typically been limited to the southeastern US, where the lone star tick is prevalent, but no more, reports Wired.

Cases—in which the consumption of meat can result in hives, difficulty breathing, or death—have been reported in Minnesota, New Hampshire, Pennsylvania, and New York, per Inverse.

Long Island has seen at least 100 cases in the last year. Researchers suspect the spread of the allergy coincides with the spread of lone star ticks, though it’s also possible that other ticks are responsible.

Either way, “the nuisance level [for lone star ticks] is much higher than the black-legged tick,” an expert tells the Weston Forum. “It is aggressive and very abundant.” Researchers are currently studying the effect of a lone star tick bite on mice to determine why it triggers the allergy.

A popular strategy in reducing stress nowadays is using exercise. There are a lot of benefits in doing exercise including the improvement of your mental and emotional well-being. Exercise is known to help you reduce weight and gives you strength. Experts said that if you will increase your exercise and do it regularly; your resilience against all the stresses in life is increased as well. Increasing your health endurance is possible through exercise according to experts and you can refer to this web page for more info. The key factor why all athletes can further enhance their anti-stress abilities is by exercise. We will learn more about what we can do using exercise.

Some key points to remember and apply it regularly to our lives during our exercise sessions are the following.

Modify your current exercise regimen every week. Your stress-reducing capabilities are increased if you will modify your workout regimen per week according to the American College of Sports Medicine. Exercise enthusiasts who are adding 5 repetitions per 1 kind of workout add endurance to your heart and increase your lung capacity. You can refer to this web page for more info to learn more how you can modify your current exercise regimen per week. Those who will add 5 regular abdominal crunches per week on their routine, a college student for example, has shown an increase in the ability to fight off infection. To learn more about how you can fight off infection in the long run, please refer to this web page for more info.

Change your exercise regimen every month or two. Reducing stress levels by trying new exercises at least a month is actually easy according to health experts. You will see the difference with how you respond to stresses in life if you will completely change your workout regimen every month. You can refer to this web page for more info about how you can safely change your exercise regimen to gain better stress-reducing abilities. To start with walks to ease your way into the new workout regimen is another recommended tip for you. You can also join a gym to get better way and guidance to adjust to your new routine.

Choose physical activities that you will enjoy. Another way to greatly reduce stress is to take your mind off your present problems. One way of diverting that attention to something healthy and worthwhile is through exercise. These physical activities can be a sport, dancing, aerobics, martial arts, or even just plain walking. To learn more how you can choose healthy physical activities that can reduce your stress every day, you can refer to this web page for more info. According to health experts, becoming active every day while doing a physical activity that you will enjoy doubles the potency of your anti-reducing stress abilities.

The most surprising benefit of getting in good shape is self-confidence or changes that happen to you, creating a more positive outlook on yourself and the life as a whole. See this article, to get more information about how getting fit can affect your self-confidence and morale. Being consistent is the hardest part about exercising or working out because it is not easy to wake up early and get up to do the daily routine. Read my article and visit this site to see more info on how you can have a daily sense of accomplishment, so you won’t miss any of your workout schedule, giving you a sense of achievement. In reality, it really takes a lot of patience, time and endurance to acquire the willpower to complete a daily workout regimen, so it pays off to visit this link for you to also have the mental strength to stick to your workout schedule.

As you read this article, remember that the mind is like a muscle, so it is important to train your mind to make small decisions every day like eating healthy and nutritious food instead of junk food. See this article so you can build your mental health for you to better manage your workouts because the only person who can help you up to the very end is yourself. A lot of people will surely notice you when you start to lean down and build your muscles, paying off your huge effort, so visit this page for you to learn how to do more effective exercises for your thighs, arms, legs and abs. You will experience being empowered if you receive compliments about being fit or sexy with your own sweat and energy, so visit url for steps on how to achieve a flatter tummy in a shorter period of time. If you transform yourself to a better you, with a better shape, you’ll be treated differently because people will appreciate the better version of you, so refer to this site for additional information, to see more tips on the best diet regimen available for those who workout. After working out, you will feel good and more alive, so you can visit this webpage for more information about the impacts of exercise on your life such as higher self-confidence, stronger physique, flexible movements, and healthier body. If you talk to those who successfully did it, they’ll tell you that it’s really challenging at first having to change bad eating habits or getting up early in the morning just to exercise, but the challenge can become a habit because you’ll gain the willpower to do it. Click the following page or refer to this site for you to know tips and tricks on how to convince yourself or motivate yourself to exercise.

Majority of people need a flawless body shape for them to look, awesome, however, this can be achieved if rehearse is involved. There is simply one excuse know that can pay one perfectly healthy if it is done properly. This practice is running, on the off chance that you are running but then you have not attained a decent shape them it’s obvious you are not running enough.

The the standard matter that has should run every day is 2000 meters of which it is conceivable if you are resolved to have a decent shape. You can too do practice inside that will enable you to get the covering shape you have ever admired. These are ways that you may use to get an average condition of which it is uncommon task for you.

High knees, this an exercise that works your quadriceps improves your overall condition, strengthen your hips and also warms your strings.

This is an awesome way o f strengthening and molding your lower body. Knees to elbows, this is another technique for embellishment your body. It is achieved by conveying your knees up to your elbows and back once more, making your the muscles to contract .

It is such a simple and yet an enjoyable exercise to practice. Jumping jacks is another physical exercise that is performed by hopping to a position with legs spread wide and hands touching overhead, here and there followed by clapping, and after that coming back to a position with the feet together and the arms along the edges.

The other tip is mountain climbing, This is considered as a full body work out, connecting with most the muscles in the body and consuming more calories in less time.

This perfect and crucial since it benefits the solid and cardiovascular health meanwhile upgrading flexibility, blood scattering, extending body strength and besides providing a not too bad body shape.

Bike crunch is another method for exercising, it is the most helpful and most favorite work out. It is achieved by lying level on the floor and keep your hands behind your head,then move your knees to around 45 degree and gradually raise your feet from the ground.

Stretch your one leg slowly as you move the other one in the direction of your body ; then move your legs assuming you are peddling a bicycle. As you continue peddling legs move your left elbow to touch your right knee, when it reaches toward your body, repeat the same procedure with your right elbow.

As you exercise gradually increase the speed and put more effort to step up a difficult level.

To know more about the tips for fitness routine and how any routine can be a good one for you, make sure to click the following webpage for more details. It is a fact that almost every person dreams in becoming attractive and with that being said, if you want to know more about it, click on the following post for more. Change your life with fitness and you will see how positive your well-being can be, there are a number of things you can do to have a fit life, enjoying playing sports is one thing. The goal that you have will determine the fitness training you will be doing to achieve that goal. Click on the following site if you want to gather more information about fitness training. Click on through to the following page and proceed with the following article for more details.

You can get more info here if you want, you will be able to understand how important it is to have a good start with the whole fitness lifestyle, working with a partner seemed to work for a lot of people. see these helpful tips about working out with another person can be easier, you can have someone to help you with spotting while working out. see this article as it shows people how working with a partner increase motivation and give both people a better fitness level or capacity.

Check out this info or see more information for your work out process, if you want to see the improvement, you can take photos of your body. Read this article to know more about self motivation and read my article if you want to know why taking photos of yourself can increase the fire that is burning inside to work even harder. Visit this website so you can see how seeing progress can make you feel good with the things that are happening. Visit this site if you want to know the reason why it is necessary to whip yourself back into shape.

For a successful result, be sure to see more tips or see more hints for it to have a such an impact on you that you will be used to it.

You can read more about this if you search more about fitness and health.

You need to refer to this article for more information, information is what will show you how to start with the fitness lifestyle.

You need to know that when you refer to this page for more tips or click through to the following page additional information, you will be able to pin point the do’s and don’ts to fitness.

Make sure that you learn about it here and you will not worry about a thing.

Health and fitness play an important role in your overall productivity and well being. Health is effective to a person. One might make out, at the moment days the folks are offering how much importance thus to their well being. As a result of that, Health and wellness training has a significant job through a healthy lifestyle.

Heath training provides a suitable guidance on how to boost our health without watering down our productivity. Those health and wellness teachings shall be worth to all kind of audiences. Viewers procure realization practically life style of life, a diet, cleanliness from the schooling along with knowledge classes. Present shall be a lot of signed up dietitians and coaches all over the globe. These on the globe, specialized, expert, fitness pros perform excellent health coaching. Health and Wellness coaching is quite dynamic and demands imaginative ability for the face a crowd of people too to optimize their health and well organism.

. Now, there are lots of businesses together with institutions will likely be giving this kind of premium training periods to the present coaches through the clued-up labor force. So they get more opportunities for the interact and projects by viewers those who are undergoing bad health conditions otherwise illnesses as well as attain practical skill and experiences by specialists. The social personnel, health education specialists, psychologists, nurses, physical therapist, pharmacists, physician’s assistance and so on carries with it health schooling. The U . The US citizens Institution of Sports Medicine or ACSM is likely one of the prominent wellness coaching guarantee course conducting institutes. Largely, wellness education has been reaching through the signed up dietitians, skilled nutritionists, practiced trainers, certified company wellness coaches along with extra health care experts.

Professional health and fitness coaches are on high demand. As, these be acquainted with a licensed wellness coach is your getting satisfactory practice on being life style, health and wellness, psychological in addition to behavioral prognosis, conditions avoidance, kinds of exercise routines, diet programs, meditations and that. These coach may help the people for the bring about the health conditions inside the best tactic together with the to proceed after a healthy life.

With such training, you will enjoy the very best feel and be satisfied with the important tips you are getting on how to deal with your life. Along at the health and wellness schooling sitting, the trainers give added importance in made the effort in addition to exploration of an exceptional food target. As, around a specific range our improper food behavior act an adverse effect on our precious health. Together with the constant interaction with the individuals, these health and prosperity trainer takes a thought nearly what is the utmost elements troubling the health conditions. The guide could revolutionize or take away to an amount these hurdles by lessons periods, other than actually require the genuine alliance of customer also to achieve full health aims.

A good trainer will help you understand and choose the best nutritious lifestyle within a fashion to variable plus pleasurable in addition to the to prevent the chance of health conditions. Nevertheless simultaneously, a health in addition to wealth coach will simply make available education, advice, counseling, and training to the present clients; through this lessons, attaining ultimate health and fitness shall be along in the clients’ hands.

Many people say that you should love yourself and accept your flaws as a person because it is part of our life. It is a piece of our growing up and it is normal for us to confer botches in life. Also, yes, this is totally valid. We are not made as flawless individuals. We are not made to wind up recognizably perfect, to look appealing continually, and to wind up observably most noticeable of all. But instead, we are created to live a simple life, enjoy the little things that can bring happiness to us, and maintain a healthy lifestyle for this is the number one factor for us to become more capable of experiencing the ups and downs of life. However, this notion should not be taken literally or used in a very abusive way because if we will just let ourselves do the same things over and over again, your life will become boring. That infers that if you will essentially stay inside your standard scope of nature, you won’t discover the chance to welcome the life outside of your typical scope of commonality; no improvement; no change, and no better type of you. So in the event that you are right now rehearsing this thing, this is simply the best time for you to enhance yourself, change your way of life, and get rid of your belly fat!

Getting rid of your belly doesn’t imply that you are not cherishing your regular body shape. It simply means that you are only concern about your health condition because sometimes this belly fat can ruin our good health. Usually, we feel that belly fat is as of late ordinary. But no one can really tell if this is nothing or something to be worried about. So as opposed to accepting that the belly fats are nothing, we should better begin getting rid of our belly fat just to make sure that our well-being won’t confront any difficult results. To that degree, what are the ideal approaches to get rid of the belly fat? What’s more, since we want to help you, here are a portion of the tips that you can think about for you to better get rid of your belly fats:

1. When you need to get rid of the belly fats, you have to lose your body weight initially to make it more workable for you to get rid of the belly fats. When trying to lose your weight, you should be mindful that you don’t need to starve yourself and avoid eating your dinner because there are good and healthy ways on how to lose your weight like by eating a balanced meal, less sugar, fewer carbs, but more water and healthy goodies.

2. Something else that will help in your getting rid of the belly objective is to do an aerobic exercise. You don’t have to weight lift overwhelming gear and invest your entire energy in the gym. All you need is to burn your fats, do more cardio exercises, get more sweat for you to get rid of your belly fat.

3. If you should be 100% sure that your voyage to getting rid of your belly fats will be productive, you can consider asking for an expert direction for you to get the correct things to do. They can give you an eating regimen configuration, make a novel exercise for you, and they can moreover give you a couple of supplements that will help you to twist up detectably more grounded and better.

The path toward getting rid of your belly fats is truly challenging. In any case, once you have seen the delayed consequence of your retributions, you will feel more animated and moved to accomplish your well-being goals. So remember to consider these tips for it can immensely help you in your enterprise of getting a more grounded and advantageous lifestyle.

We should all love and embrace ourselves no matter how we look, how we view things, and how the other people see you because this is the only thing that we can do for ourselves – to accept our own imperfections, to love our own capabilities, and to feel happy and blessed with all the things that we are achieving in life. Loving yourself means that you need to give yourself the right and proper things that our health and life truly deserve to get. It suggests that you need to eat extraordinary food, do amazing and fun practices that will help in upgrading our prosperity condition, and we need to live in motivation since this is proportionate to happiness. Loving yourself doesn’t infer that you have to do whatever you required in life. It doesn’t infer that you have to abuse your advantage and nonchalance alternate people around you. For instance, you really love to eat, drink, and watch movies for the duration of the day in light of the fact that for you this is the thing that happiness infers. In any case, on the off chance that you will routinely do this and make it as a component of your way of life, you are as of now mishandling your benefit and this could prompt dangers that may leave a major negative effect on your life, and most noticeably bad to the life of your loved ones. Therefore, happiness should not only be focused on YOU, but your happiness should compose of YOU, your loved ones, career, and most above all, your health. Because a healthy lifestyle means that you have chosen to love yourself in a good way and in the most beneficial manner. That being stated, on the off chance that you need to know how to love yourself with fitness, here are a few hints that you can consider so you can get an unmistakable direction on how you can really adore yourself without trading off the nature of your life:

1. To start off, you need to change your meal plan and start eating good food. Great sustenance implies you need an adjusted eating routine. Eat vegetables, organic products, and the other sustenance that may help in finishing the supplements that our body requires a day. You can eat a touch of chocolate or any of your most adored snack. Just make sure that you will take this in small portions and not on a regular basis.

2. Despite how bustling you are with your vocation, you generally need to guarantee that you will do a physical movement for no less than 30 minutes. You can do a morning jog, walk, or any cardio exercise to burn the extra calories and for you to enhance your health condition. Moreover, in the event that you will routinely do this, you will feel less pushed and powerless everytime you will wake up since the course of your blood will likewise be enhanced while accomplishing your body objectives.

3. Attempt to search for different courses on how you can ease your anxiety in light of the fact that on the off chance that you will be utilized living in an unpleasant life, it will likewise influence your way of life and that incorporates your well-being. If you are always under the stress condition, you will suffer from different kinds of diseases and you will have the tendency to overeat until you become so big and weak. Also, when that happens, you will feel discouraged with your look and body shape and your entire world will flip around. So in the event that you need to maintain a strategic distance from such things, at that point, you need to escape with stress.

There are lots of ways on how you can love yourself with fitness. You can ask a specialist, read articles, or even ask your companions so you can get more thoughts on how you can enhance your way of life. This perhaps too hard toward the start, yet once you have found the secret, you will appreciate it and you will at last take in the genuine importance of loving yourself with fitness.

At the point when summer is drawing nearer, the chance to work out and exercise with companions or the whole family itself can lend additional support if you are serious about getting fit as a fiddle.

Despite how hot it gets outside you have to keep up with your calendar of activities and exercise routines otherwise you can do it inside the house but you must follow certain levels of difficulty as enumerated on this site if you click the following webpage. Although, this can somehow become quite tiring and a perilous recommendation if you are just starting out.

You will need to base your exercise on cardio and resistance preparing routines, or you can get more information by signing up for gym sessions and workout classes that offer personal trainers to interested clients. Be that as it may, not anticipating the sweat and perspiration that you will shed can cause serious health problems such as muscle spasms and drying out of the skin as well as the inner body parts – so take the smart route by ensuring that you are fully loaded with all the health drinks and water that you will need. You might not be aware of it but the most serious issue that an exercise aficionado has ever experienced when they were working out is, the lack of hydration. At any rate, once you have made up your mind about exercise, ensure to build your fitness and health level in a well-rounded way – it is for your own good and will surely help you survive the soon-to-come grueling phase of your exercise regimen.

The pattern of your exercise routine ought to be taken around your goals and what could be generally expected from the summer weather, still your best bet before going all out is to check out this information first. Doing this is the best way for you to avoid the hot summer sun which is considered as the best way to prevent your body from drying out.

Likewise, it would get your summer workout routine on the right footing if you also undergo an examination with your family doctor so you can get more info as to the state of your health and physical wellbeing. Only a competent doctor will be able to properly assess and examine you and will consider your wellbeing as well as the climate conditions overall, before actually recommending anything at all, so if you want to read more about this, go here.

There’s no doubt that you may have already eyed a great fitness goal in mind and have started giving it a push at the start but, sooner or later, you may lose that drive that’s pushing you forward which will surely set everything you’ve worked hard for in vain. You do not need to worry though, because the problem isn’t unsolvable and in fact, you can read much more and see this article for more info on things that can help you conquer motivation loss and finally get you back to pursuing the fitness goals you’ve set.

Achieving Fitness Goals with Optimum Mindset

One of the greatest contributors that will act as your ladder in gaining that dream body of the public is drive or motivation, making it important to get your mindset at its prime. The condition or state of your mind is very important if you want nothing short of the drive you need which is why you need to energize and optimize it at its peak so that it will be motivated to pursue the goal you’ve set. If you’re wondering what things you can do to boost your psyche to a whole new level, here are some tips you’d like to take.

1. Buying new clothes may be something you would not expect when motivating yourself to exercise but, it will really work to increase your drive if you get an innovative workout outfit for yourself. Achieving your body goal does not mean you should sacrifice comfort and having new clothes will surely improve that sector and will take more load off your chest during training.

2. Music is a great motivator in any scenarios and this includes even during exercising as the right song for you will surely do great in keeping your energy at its peak.

3. Many would certainly find it tolling to go to the gym back and forth which may just be the reason for loss of drive and the solution for that is creating your own simple gym space that will allow you to give it your all in exercising without leaving the comforts of your home.

4. One of the most common mistake of people who works out is eating lesser than they should be eating because the true secret in achieving that body goal isn’t through starvation but in healthy eating of foods that won’t contribute to sickness and other bodily problems.

Your mindset may have not been properly set in stone and drive loss may have been lessened but it is still possible during the entire process and you can learn more about it here, some more tips that will help you keep motivating yourself.

1. Changing and mixing your routine workouts from time to time will go a long way in keeping your exercise dynamic while also making sure that you’ll have more diversity in honing and toning your body correctly.

2. You do not have to be deeply engrossed in workouts as you can still have some fun to relieve stress that may lessen your motivation.

During the holidays people mostly tend to get lazy and get to forget their regular workout routine, the hard work they done to staying in shape would be in vain once they eat large amounts of food during parties. They can later on regret their actions, so why not celebrate the holidays on a really good note, they can be a great example to others which break the rules by sticking to their workout routine. There are numerous things that people can do when they want to stay fit during the holiday seasons, they need to know which activities they can do to stay fit and they read this article to help them to stay fit.

During the holidays there are a large number of things which is going on that people don’t have the motivation or time to follow up their exercise routine, but people must get to burn the calories they take by doing exercise. If people have found it really hard to stick to their normal workout routine, they can get to know an easier one and they need to engage in any physical activity that can help people burn calories and they need to read much more on which activities are good.

People must get to first shorten their cardio exercises, if they cannot allot thirty minutes on cardio exercises they can then do it for at least ten to fifteen minutes and pick an activity which is easier to follow. And since people gets to spend less time on exercises during the holidays they can choose to increase their pace when getting to work out so that they can get to burn more fats that they consumed, so people must check out these helpful tips.

People need to get to exercise wherever they can, they need to first take the stairs apart from the steps and they can park their car a little further away from the venue so that they can cover a certain distance by walking. Individuals can try to check out this info, people can arrange from a group of activity because holidays are a time when friends and family members to gather at one place and make use of the chance to arrange a group activity.

The next critical thing that people needs to get to remember is for them to control their eating, the food can be really tempting and they can find it very hard to control themselves but they must do this to manage their weight. When individuals want to lose weight during the holidays they can click the following link to learn how to do it effectively.